Sean David Hendricks, M.D.
Sean David Hendricks is a Retina Specialist (Ophthalmology) Physician provider (Ophthalmology) practicing in Springfield, IL, registered in the NPPES registry with NPI 1164583084 since 2006. The credential MD stands for Doctor of Medicine.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1164583084 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Sean David Hendricks |
| Credential | M.D. |
| Sex | Male |
| Practice address | 2020 W ILES AVE, Springfield, IL, 62704 |
| Phone | 2174929629 |
| Fax | 2176984728 |
| Enumeration date | 2006-12-13 |
| Last updated in NPPES | 2025-12-04 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207WX0107X | Retina Specialist (Ophthalmology) Physician | Primary | 026330 | LA |
| 207W00000X | Ophthalmology Physician | Secondary | 42382 | TN |
| 207W00000X | Ophthalmology Physician | Secondary | 20248 | MS |
| 207W00000X | Ophthalmology Physician | Secondary | 026330 | LA |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 026330 | Other | LA | LICENSE |
| 00226767 | Medicaid | MS | — |
| 302I182564 | Other | MS | MEDICARE PTAN |
Copy-ready billing details
Provider: Sean Hendricks, M.D. NPI: 1164583084 Taxonomy: 207WX0107X (Retina Specialist (Ophthalmology) Physician) Address: 2020 W ILES AVE, Springfield, IL, 62704
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1578568077 | Robert Blumthal | Individual | Optometrist | Springfield, IL |
| 1447222864 | Prairie Eye Center, Ltd | Organization | Ophthalmology Physician | Springfield, IL |
| 1861440612 | Jennifer Waller | Individual | Optometrist | Springfield, IL |
| 1841248838 | Sandra Yeh | Individual | Ophthalmology Physician | Springfield, IL |
| 1043268386 | Stephen Cook | Individual | Specialist | Springfield, IL |
| 1386692630 | Harvey Mack | Individual | Optometrist | Springfield, IL |
| 1114975414 | Mary Morrisey | Individual | Specialist | Springfield, IL |
| 1144279498 | Stuart Farris | Individual | Ophthalmology Physician | Springfield, IL |
Verify this record
Cross-check NPI 1164583084 against the authoritative CMS record: view Sean David Hendricks on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-12-04.